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ACFE Certified Fraud Examiner - Financial Transactions and Fraud Schemes Exam Sample Questions (Q69-Q74):

NEW QUESTION # 69
False billing scheme states that:

A. employees do not cause their company to purchase merchandise that the company does not need.
B. employees cause their company to purchase merchandise that the company does not need
C. employees do not cause their company to sale merchandise that the company does not need.
D. employees cause their company to sale merchandise that the company does not need.

Answer: B

NEW QUESTION # 70
Which of the following scenarios is an example of upcoding?

A. Victor receives payment in exchange for undergoing an unnecessary medical procedure that is then billed to his health care program.
B. Margot inflates a medical bill she is seeking reimbursement for by adding an additional digit to the amount charged.
C. Dr. Johnson, a psychiatrist, regularly sees patients for sessions lasting less then forty minutes, but she submits the claims with a code that indicates the sessions were sixty minutes long.
D. Dr. Hernandez uses four procedure codes when submitting a claim for a coronary bypass he performed that is supposed to be billed using a single procedure code.

Answer: C

Explanation:
Explanation/Reference: https://www.acfeinsights.com/acfe-insights/2018/12/12/health-care-fraud-5-common-billing-schemes

NEW QUESTION # 71
Which of the following is TRUE regarding ghost employee schemes?

A. The ghost employee must be classified as an exempt employee.
B. The ghost employee must be a fictitious person.
C. The ghost employee must be someone who has never worked for the victim company.
D. The ghost employee must be added to the payroll.

Answer: D

NEW QUESTION # 72
Green was a salesperson whose job required frequent travel. When Green went on a trip with her family that was not business related, she saved the receipts from her flight, hotel, and restaurant expenses. She turned in these receipts to her manager along with an expense report that described the expenses as business related.
Green's company reimbursed her for the expenses. This is an example of what type of expense reimbursement scheme?

A. An overstated expense scheme
B. A multiple reimbursement scheme
C. A fictitious expense scheme
D. A mischaracterized expense scheme

Answer: D

Explanation:
Explanation/Reference: https://www.bakertilly.com/insights/expense-reimbursement-schemes

NEW QUESTION # 73
Which of the following is an insurance fraud detection tool that uses computer-generated reports to compare payments going to the same location and identify funds fraudulently sent to brokers?

A. Electronic confirmations
B. Address similarity reports
C. Vendor master lists
D. Payroll reports

Answer: A

NEW QUESTION # 74
......

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